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1641. Appendix: State Overviews (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html
      October 01, 2014 - Rhode Island then placed a nurse care manager at its largest hospital and began training hospital discharge

1642. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults-references.html
      September 01, 2024 - Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors

1643. 2. Evidence of Disparities among Ethnicity Groups | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2.html
      May 01, 2018 - From there, the hospital could determine whether culturally specific interventions at discharge planning

1644. Appendix A. Literature Review | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
      April 01, 2018 - classified as either contaminated or dirty-infected; A patient having three or more diagnoses at discharge

1645. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
      June 21, 2021 - GP perspectives on hospital discharge letters: an interview and focus group study.

1646. Meeting Minutes, July 2019 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2019-07-nac/nacmtg0719-minutes.html
      November 01, 2019 - It has fostered increases in value by disseminating discharge tools.

1647. Puh-Implementation-Factraining-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
      June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing 1 Implementation of the Healing Reports AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing Facilitator Training Implementation of the Healing Reports Note: This part of the training primarily consists of exercises …

1648. Compendium of U.S. Health Systems, 2022, Home Health Care Organization Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-hhco-linkage-techdoc.pdf
      January 01, 2022 - Compendium of U.S. Health Systems, 2022, Home Health Care Organization Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2022, Home Health Care Organization Linkage File, Technical Documentation Prepared for: Agency for Healthcare …

1649. Compendium of U.S. Health Systems, 2021, Home Health Care Organization Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-hhco-linkage-techdoc.pdf
      January 01, 2021 - Compendium of U.S. Health Systems, 2021, Home Health Care Organization Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2021, Home Health Care Organization Linkage File, Technical Documentation Prepared for: Agency for Healthca…

1650. Compendium of U.S. Health Systems, 2020, Home Health Care Organization Linkage File, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-hhco-linkage-techdoc.pdf
      January 01, 2020 - Compendium of U.S. Health Systems, 2020, Home Health Care Organization Linkage File, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2020, Home Health Care Organization Linkage File, Technical Documentation Prepared for: Agency for Healthca…

1651. Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harder.pdf
      May 19, 2003 - Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis 323 Improving the Safety of Heparin Administration by Implementing a Human Factors Process Analysis Kathleen A. Harder, John R. Bloomfield, Sue E. Sendelbach, Michele F. Shepherd, Pam S. Rush, Jamie S. Sinclair,…

1652. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
      March 23, 2008 - Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine …

1653. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
      January 01, 2024 - Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study … Interventions to improve follow-up of laboratory test results pending at discharge: a systematic review

1654. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
      April 01, 2018 - Patients < 18 years of age at discharge. 2.

1655. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-compendium-techdoc.pdf
      January 01, 2018 - Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2018, Technical Documentation Prepared for: Agency for Healthcare Research and Quality U.S. Department of He…

1656. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/consumer-experience/reporting/11-0060-EF.pdf
      May 01, 2011 - patient safety events in three different settings of care:  Hospital or home immediately following discharge … events over the continuum of care, such as problems that occur during transitions of care or after discharge … and literature given to patients when they first enter the hospital/health care facility and also at discharge … A few stakeholders suggested post-discharge surveys or exit interviews to solicit information about

1657. Designing Consumer Reporting Systems for Patient Safety Events: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/11-0060-EF.pdf
      May 01, 2011 - patient safety events in three different settings of care:  Hospital or home immediately following discharge … events over the continuum of care, such as problems that occur during transitions of care or after discharge … and literature given to patients when they first enter the hospital/health care facility and also at discharge … A few stakeholders suggested post-discharge surveys or exit interviews to solicit information about

1658. Final Progress Report: Clinical Prediction of Hepatotoxicity & Comparative Hepatic Safety of Medications (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lo-report.pdf
      January 01, 2024 - identified Kaiser Permanente Northern California health plan members (2004-2010) with a hospital discharge

1659. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
      June 02, 2025 - The report helps clinicians understand the overall picture of reasons for transfer and discharge diagnoses

1660. Final Progress Report: Developing Peer-to-Peer Learning Tools for Critical Care Physicians (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/rosen-report.pdf
      January 01, 2024 - • Team members discuss anticipated patient progress, including progress toward discharge home or transfer